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Usual Adult Dose for Erectile Dysfunction: Initial dose: 50 mg orally once a day, as needed, 1 hour prior to sexual activity. Maintenance: 25 to 100 mg orally once a day, as needed, 1 hour prior to sexual activity. Usual Geriatric Dose for Erectile Dysfunction: Initial dose: 25 mg orally once a day 1 hour prior to sexual activity. What other drugs will affect Viagra. Do not take Viagra with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction.

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